NPI 1295964088 · live from the CMS NPI Registry
Michael J Edwards, Minister
Homemaker in Mesquite, TX. National Provider Identifier 1295964088, active.
NPI record
| NPI | 1295964088 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Homemaker 376J00000X |
| Practice location | 2102 Tradewind Dr, Suite 172, Mesquite, TX 75150 |
| Practice phone | 601-810-5788 |
| Mailing address | 1017 Haney Rd Ste C, Summit, MS 39666 |
| Enumerated | July 14, 2009 |
| Last updated | January 20, 2012 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Worker | 172V00000X | — |
| Counselor, Pastoral | 101YP1600X | — |
| Counselor | 101Y00000X | — |
| Massage Therapist | 225700000X | — |
| Acupuncturist | 171100000X | — |
| Driver | 172A00000X | — |
| Adult Companion | 372600000X | — |
| Chore Provider | 372500000X | — |
| Homemaker primary | 376J00000X | — |
| Religious Nonmedical Practitioner | 374K00000X | — |
| Interpreter | 171R00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.